Provider Demographics
NPI:1558412494
Name:OBINNAH, AUGUSTINE UJUNWA (MD)
Entity Type:Individual
Prefix:DR
First Name:AUGUSTINE
Middle Name:UJUNWA
Last Name:OBINNAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4809 ARGONNE ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80249-6834
Mailing Address - Country:US
Mailing Address - Phone:303-344-8700
Mailing Address - Fax:303-344-0200
Practice Address - Street 1:4809 ARGONNE ST
Practice Address - Street 2:SUITE 100
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80249-6834
Practice Address - Country:US
Practice Address - Phone:303-344-8700
Practice Address - Fax:303-344-0200
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO36486207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01364868Medicaid
COOBO53050OtherBLUE CROSS BLUE SHIELD
CO01364868Medicaid
COC511908Medicare PIN